RSDI Retirement, Survivors and Disability Insurance benefits (RSDI) paid by the Social Security Administration. Also covers medicines ordered by doctors and dentists. This information is compared to the application and details from the interview to identify case discrepancies and reduce the possibility of case error and fraud. These databases contain information for individuals who are currently on assistance and for individuals who have applied for or received assistance in the past. Opportunity to Participate Providing a certified applicant with benefits, a Lone Star Card, personal identification number (PIN), and Electronic Benefit Transfer (EBT) training material. Royalty A payment to a person for permitting another to use or market property. 24/7, confidential support is always available. The EDG is built and eligibility is established at the highest level. Deductible Part of Self-Employment Tax A federal income tax deduction for self-employed people paying self-employment taxes. State and federal government websites often end in .gov. The parent oversees the curriculum and ensures that the children are actually being educated. The network is comprised of the statewide efforts of TWC along with planning and service provision by 28 local workforce boards on a regional level. When you're done, you can create an account to apply for benefits and send your info to support services to be contacted by programs. With an account, you will also be able to save your support service screening forms and check the status of any you have already filled out. is not needed to process a redetermination. formal court-ordered or legally mandated; or. See Alternate Payee. Trust Property held by one person for the benefit of another. Alien Sponsor A person who signed an affidavit of support (U.S. Examples of public institutions include county and city jails and Texas Department of Corrections prisons. Personal Representative A person who can represent another person's rights with respect to individually identifiable health information. For your convenience, the Help Center will open in a new window. Case Mode Status of a case that identifies that: Case Number A unique 10-digit number that identifies a group of Eligibility Determination Groups (EDGs). Prudent Person Principle Reasonable decision made by staff based on the best information available and common sense in a particular situation. Legal Parents Mother, by having given birth to the child, by proof of adoption, legal document or court adjudication or father, by proof of adoption, legal document, court adjudication or his acknowledgement of paternity. Historical Data Records of case, Eligibility Determination Groups (EDGs) and individual information. Earned Income Tax Credits (EITC) Payments from the Internal Revenue Service (IRS) to people with gross monthly earnings at or below levels established by the IRS. Types of alternate payees include a court appointed guardian, EBT representative, Financial Management Information System (FMIS) payee, long-term care (LTC) payee, protective payee and representative payee. The mortgage company uses money in the account to pay annual property taxes, home insurance premiums and sometimes homeowner association fees on behalf of the homeowner. Administrative Renewal The method used to redetermine eligibility for most Medical Programs, including Medicaid for the Elderly and People with Disabilities (MEPD) and the Childrens Health Insurance Program (CHIP). According to the IRS, in 2015, "4.4 million ITIN filers paid over $5.5 billion in payroll and Medicare taxes and $23.6 billion in total taxes.". Case Visibility Type of YourTexasBenefits.com account given to an applicant who has been through Advanced Authentication so is granted a Case Visibility level account. Tip Income Income earned along with wages paid by patrons to people employed in service-related occupations. Even if designed to serve up to 16 residents, the following facilities are not considered publicly operated community residences: Qualified Entity (QE) A Medicaid provider (in most instances but can also be an organization such as a school or clinic) that notifies HHSC of its election to make presumptive eligibility determinations and agrees to make presumptive eligibility determinations for pregnant women only, per HHSC policies and procedures. Examples of batch processing include schedule system-generated correspondence to be printed at and mailed from a central site, mail out review packets at scheduled intervals from the central mail facility, and gathering information and share it through interfaces with other agencies. Authorization Code A code that identifies a retailer as a Food and Nutrition Service (FNS)-participating store. a facility located on the grounds of or immediately adjacent to any large institution or multi-structure complex; an educational or vocational training institution; and. If you already get SNAP benefits, you will not be eligible for Disaster SNAP. hold out to the public that they are a married couple. You have already answered the required questions.If you want to start the questions over, go back to the home page of Your Texas Benefits. Redetermination A complete action to determine eligibility for a new certification period in a program. In most instances, Children's Medicaid relates to comprehensive policy for Type Programs (TPs) 43, 44, 45 and 48, unless specifically stated otherwise in a handbook section. Change Action A data collection interview mode that allows eligibility staff to navigate to pages on which they want to update or record information. Instructions include not writing their PIN on the card sleeve or anything they carry in their purse or wallet, not revealing their PIN to anyone, or letting anyone use their card. Inaccessible Resources Resources not legally available to the person. This person has access to the EBT account for the Eligibility Determination Group (EDG). Explore health plans for you and your family, including short-term gap coverage and more. Good Cause A term used to indicate that a person has an acceptable reason for not complying with a program requirement. The two levels of service are: Claim An amount owed by a person for an overpayment of benefits. Hearing The functional area where individual appeals are recorded and tracked. determining if a medical bill can be counted for spend down; corresponding with the applicant about eligible and ineligible medical bills; determining if and when the applicant meets spend down; and. Timely Supplemental Nutrition Assistance Program (SNAP) application filed by the 15th of the last month of certification. The sleeve also has important information printed on it for easy reference, such as the Lone Star Help Desk number. Manage Office Resources (MOR) The functional area that supports the administrative structure in the Texas Integrated Eligibility Redesign System (TIERS) and relationships between regional offices and their local offices, units, and employees. Ongoing Benefits Benefits issued for months after the initial benefit month. The User Guide includes information about numerous TIERS topics. Detail Page Click the Edit or View icon to edit or view details of a record listed on a Summary Page. Advanced Nurse Practitioner A registered nurse with additional training and certification in a specific area of medicine. They are not considered inmates of a public institution. Publicly Operated Community Residence A facility designed to serve up to 16 residents and to provide some services beyond food and shelter, such as social services, training in socialization, and life skills. temporary quarters in another person's residence for 90 days or less. Supplemental Nutrition Assistance Program (SNAP) and Temporary Assistance for Needy Families (TANF) Multiple people may be certified on a single EDG. request an alert and send it to another user; generate manual correspondence on a case; and. Logical Unit of Work (LUW) A set of Texas Integrated Eligibility Redesign System (TIERS) pages that must be completed before the information entered on these pages is saved. Blocked Time periods that are designated for specific purposes. Primary Cardholder (PCH) The person designated to receive and be responsible for the household's Lone Star Card. minimum service has little or no presence of Choices staff. Complete Review A re-evaluation of ongoing eligibility. A mastectomy bra can provide comfort, support, and security to an individual as they become accustomed to their new normal. For most people, their tax year is the calendar year. Home Energy Assistance Program (HEAP) A federal program that pays benefits to help eligible people pay utility costs. The person's must have no vested interest in the household's situation. In many instances, batch processing occurs overnight, when Texas Health and Human Services Commission (HHSC) offices are closed and the system is not being heavily used throughout the state. Priority Supplemental Nutrition Assistance Program (SNAP) Issuances Expedited SNAP benefits, benefits issued on or after the 25th day from the date of application, and issuances ordered by a hearing officer decision that must be made available in order to meet fair hearing timeliness requirements. Your unique Medicaid numberwill be displayed on the Texas Health and Human Services Commission's 'Your Texas Benefits' card. Functional Area Functions and processes that appear in the Texas Integrated Eligibility Redesign System (TIERS) Left Navigation area and represent a particular business process. Fixed Income Unearned income that does not vary. The last number in your TANF Eligibility Determination Group number tells what day you get your benefits. For example, those with incomes over $200,000 had an average refund of $3,239 while those with incomes under $50,000 had an . Staff also use the EBT system to perform such functions as inquiry, account transaction update to the vendor database and, in certain very restricted situations, priority SNAP benefit authorization. An example of a publicly operated community residence that is not a public institution is a county homeless shelter with a capacity of up to 16 people. See functional area. Medical Support Health insurance that absent parents will be ordered to obtain for their children who receive Medicaid when it is available at reasonable cost. Vendor Payment Payment made directly to the individual's creditor or person providing the service by a person or organization outside the household. Colonias Unincorporated and unregulated settlements (neighborhoods) along the U.S. and Mexico border. If you can't find it, call us at 800-777-7328. Managing Conservator A person designated by a court to have daily legal responsibility for a child. The caller must provide the head of households Social Security number (SSN) or the case number and date of birth of a household member to access information. Modified Adjusted Gross Income (MAGI) Household Composition The people whose income and needs are considered when determining eligibility for an applicant or recipient for certain Medical Programs based on tax status, tax relationships, living arrangement, and family relationships. Data Collection The functional area where individual household, non-financial, resource, income, and deduction information is recorded for use in building Eligibility Determination Groups (EDGs) and determining eligibility for types of assistance. Run EDBC (Eligibility Determination Benefit Calculation) A process in the Wrap Up eligibility management group used to determine eligibility of the Eligibility Determination Group (EDG). Deprivation Loss of parental support caused by death, incapacity, continued absence of one or both natural or adoptive parents, or because of unemployment or underemployment of both parents in a two-parent family. Individual Number A unique nine-digit number that identifies any person known to the Texas Integrated Eligibility Redesign System (TIERS). A same-sex marriage that occurred on or after June 26, 2015, is considered valid on the date it occurred. SeeCascade Logic,Rebuild EDG, andRun EDBC. A household member is a TANF or SSI recipient if the person is approved for TANF or SSI but the benefit: A SNAP household that includes members authorized to receive TANF non-cash services and whose household gross income is less than 165 percent of the Federal Poverty Income Limit (FPIL) for its size and meets the resource criteria. even if an applicant chooses not to apply for TANF, the person can still apply for Medical Programs and the Supplemental Nutrition Assistance Program (SNAP) to support employment while working toward self-sufficiency. Power of Attorney (POA) Written legal authorization to represent or act on another's behalf in private affairs, business, or some other legal matters. Reactivation Date The effective date to reinstate benefits for an Eligibility Determination Group (EDG). Applicants who meet eligibility requirements during any of the months in this period receive Medicaid benefits for the eligible month(s). past, present or future payment for the provision of health care to the person. Deportation (or Removal) Withheld Deportation is being withheld under Section 243(h) of the INA, or removal is withheld under Section 241(b)(3) of the INA. Adults on the Eligibility Determination Group (EDG) must be legal parents (including a certified stepparent) to the dependent child. Authorized Representative (AR) A person or organization designated by an applicant or recipient to take the following actions on the applicants behalf: Automated Income Check Process The first step in a periodic income check (PIC). SeeCase. perform initial self-screening to check for potential eligibility; view general benefit program information. Seedefinitions of Eligibility Determination Benefit Calculation(EDBC), rebuild EDG,run EDBCandWrap Up. Community Supervision The placement of a misdemeanor or felony offender under supervision for a specified length of time ordered by the court. The functional areas that are available to the user are determined by the user's job title and security role(s). Conception occurs, but no fetus ever develops. The Food and Nutrition Act of 2008 limits eligibility for SNAP benefits to U.S. citizens and certain lawfully present non-citizens. Presumptive Eligibility (PE) Short-term Medicaid coverage provided to people determined potentially eligible for regular Medicaid by a qualified hospital or a qualified entity. This process occurs without staff or specialist action. SeeCorrespondence,Print ModeandPrint Type. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. See Taxpayer. Advance Notice A notice of adverse action that expires 13 days after it is sent. Fair Market Value Amount of money an item would bring if sold in the current local market. Your total base period wages are at least 37 times your weekly benefit amount. State Data Exchange (SDX) Computer tape from the Social Security Administration (SSA). Noncompliance with the PRA results in a sanction. The canceled amount is included as countable income on federal income tax returns. an account that contains the household's Supplemental Nutrition Assistance Program (SNAP) food benefits; an account that contains the household's Temporary Assistance for Needy Families (TANF) cash grant amount; or, Type Assistance (TA) 31, Parents and Caretaker Relatives Emergency, Type Program (TP) 32, Medically Needy with Spend Down Emergency. EBT involves computers, a variety of cards or types of cards, electronic funds transfer techniques, automated teller machines (ATMs), point-of-sale terminals or other types of terminals, and software to complete the EBT process without the loss of program integrity or individual confidentiality. Taxpayer A person or a married couple who expects: Temporary Assistance for Needy Families (TANF) Basic Cash assistance for families that include a dependent child and no more than one eligible adult. This is a toll-free number (2-1-1 or 877-541-7905) that allows people to inquire on the status of their case, their next appointment time, or to determine if Texas Health and Human Services Commission (HHSC) received information. Management The way in which a household pays its expenses with available income. Commingled Resources Resources of a Temporary Assistance for Needy Families (TANF) or Supplemental Security Income (SSI) recipient combined with those of a non-TANF or SSI household member. Electronic Benefit Transfer (EBT) Site Coordinator An HHSC employee designated to ensure local offices comply with guidelines on security and accountability operations. Or send an e-mail to: mail@dhs.state.tx.us. Manual Voucher Transaction A paper-based debit transaction completed by the food retailer when the automated Electronic Benefit Transfer (EBT) system is down or unavailable. Tuition or GI Bill Deduction A federal income tax deduction for people who paid qualified tuition fees to eligible post-secondary educational institutions for themselves, their spouse or their dependents. Summer P-EBT (June-August 2022) is a one-time benefit of $391 for each eligible child. Aperson under18 may not be a party to an informal (common law) marriage. These include Form H1010, Texas Works Application for Assistance Your Texas Benefits, or Form H1205, Texas Streamlined Application. Type Program (TP) 08, Parents and Caretaker Relatives Medicaid A child who is18 or under, and a full-time student meeting the school attendance requirement. Fast forward to 2023, and many companies in some cases spurred by massive government subsidies are taking big steps to diversify their supply chains, focusing on reliability and robustness over cost and efficiency. Make payments to the surviving spouse, children, parents, grandchildren or grandparents when the affected person is deceased. Cascade Logic A hierarchy of logic used to build Eligibility Determination Groups (EDGs) and evaluate eligibility for Texas Health and Human Services Commission (HHSC) programs and types of assistance. See, is a member of a Supplemental Nutrition Assistance Program [SNAP] Eligibility Determination Group [EDG] where a household member is under 18; or.